Publications by authors named "Gayani Gunawardena"

Article Synopsis
  • Many patients with gastric cancer are found to have peritoneal metastases during surgery, but detecting this condition before surgery is often difficult due to limitations in imaging techniques like CT scans.
  • Staging laparoscopy can improve the detection of peritoneal metastases, potentially allowing for better treatment planning and reducing unnecessary surgeries.
  • This review highlights the benefits and challenges of staging laparoscopy in gastric cancer, discusses recent advances including artificial intelligence and image-guided surgery, and explores future developments in preoperative management.
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The gut microbiota is one of the great innovations of modern medicine. In the modern microbiota revolution era, more comprehensive and in-depth studies have been performed regarding the microbial gut communities and their impact on acute and chronic diseases, including those of the nervous system as acute neurological diseases. The microbiota has changed our knowledge of medical conditions; in particular, considering stroke (both ischemic and hemorrhagic), literature studies, experimental and clinical researches indicate that the individual's risk and outcomes are substantially impacted by the gut microbiota.

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Introduction: Recent guidelines suggest treating acute uncomplicated diverticulitis (AUD) without antibiotics. We tested the efficacy of Limosilactobacillus reuteri ATCC PTA 4659 in AUD. Primary outcome was the reduction of abdominal pain and inflammatory markers [C-reactive protein (C-RP) and calprotectin].

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: DSM 17938 () is a probiotic that can colonize different human body sites, including primarily the gastrointestinal tract, but also the urinary tract, the skin, and breast milk. Literature data showed that the administration of can be beneficial to human health. The aim of this review was to summarize current knowledge on the role of in the management of gastrointestinal symptoms, abdominal pain, diarrhea and constipation, both in adults and children, which are frequent reasons for admission to the emergency department (ED), in order to promote the best selection of probiotic type in the treatment of these uncomfortable and common symptoms.

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